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Care"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In Australia, motor vehicle crashes (MVC)-related health data are available from insurance claims and hospitals but not from primary care settings. This study aimed to identify the frequency of MVC-related consultations in Australian general practices, explore the pharmacological management of health conditions related to those crashes, and investigate general practitioners\u2019 (GPs) perceived barriers and enablers in managing these patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Mixed-methods study. The quantitative component explored annual MVC-related consultation rates over seven years, the frequency of chronic pain, depression, anxiety or sleep issues after MVC, and management with opioids, antidepressants, anxiolytics or sedatives in a sample of 1,438,864 patients aged 16\u2009+\u2009years attending 402 Australian general practices (MedicineInsight). Subsequently, we used content analysis of 81 GPs\u2019 qualitative responses to an online survey that included some of our quantitative findings to explore their experiences and attitudes to managing patients after MVC.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>MVC-related consultation rates remained stable between 2012 and 2018 at around 9.0 per 10,000 consultations. In 2017\/2018 compared to their peers, those experiencing a MVC had a higher frequency of chronic pain (48% vs. 26%), depression\/anxiety (20% vs. 13%) and sleep issues (7% vs. 4%). In general, medications were prescribed more after MVC. Opioid prescribing was much higher among patients after MVC than their peers, whether they consulted for chronic pain (23.8% 95%CI 21.6;26.0 vs. 15.2%, 95%CI 14.5;15.8 in 2017\/2018, respectively) or not (15.8%, 95%CI 13.9;17.6 vs. 6.7%, 95% CI 6.4;7.0 in 2017\/2018). Qualitative analyses identified a lack of guidelines, local referral pathways and decision frameworks as critical barriers for GPs to manage patients after MVC. GPs also expressed interest in having better access to management tools for specific MVC-related consequences (e.g., whiplash\/seatbelt injuries, acute\/chronic pain management, mental health issues).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Chronic pain, mental health issues and the prescription of opioids were more frequent among patients experiencing MVC. This reinforces the relevance of appropriate management to limit the physical and psychological impact of MVC. GPs identified a lack of available resources (e.g. education, checklists and management support tools) for managing MVC-related consequences, and the need for local referral pathways and specific guidelines to escalate treatments.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12875-024-02421-5","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T12:01:27Z","timestamp":1715860887000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of physical and psychological trauma resulting from motor vehicle crashes in Australian general practice: a mixed-methods approach"],"prefix":"10.1186","volume":"25","author":[{"given":"Carla","family":"Bernardo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Hoon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Alejandro","family":"Gonzalez-Chica","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Frank","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Black-Tiong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Stocks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,16]]},"reference":[{"key":"2421_CR1","volume-title":"Global status report on road safety 2018","author":"World Health Organisation (WHO)","year":"2018","unstructured":"World Health Organisation (WHO). 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The Human Research Ethics Committee of the University of Adelaide exempted it of a full review as it used only secondary and de-identifed data, with no possibility of re-identifcation. NPS MedicineWise, the data custodian of the program MedicineInsight when this study was performed, received approval by the Royal Australian College of General Practitioners (RACGP) National Research and Evaluation Ethics Committee (NREEC 17\u2013017) for the standard operation and use of the MedicineInsight programme. General practices included in the MedicineInsight program consented to provide data on an ongoing basis. Data are encrypted during transit, following government and industry best practice standards, and are collected, used and stored strictly in accordance with Australian privacy laws (including mandatory data breach notification laws). The qualitative component was approved by the Human Research Ethics Committee at the University of Adelaide (approval number H-2019-256), and an invitation for GPs to answer the online survey was posted in two social media professionally based groups. Informed consent was implied through the completion of the survey questionnaire. The preamble to the survey covered participant information, including consent and anonymity.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"167"}}